02 - Feb 01, 2020 (as of Feb 01, 2020) Page 5 of 266 01/22/2020. HCBS Waiver Billing • Claims deny if no authorization exists in the database, if the authorization has been exceeded, or if a code other than the approved code is billed. **HCBS Incident Submission Guidance Manual** Important. Indiana’s Aged & Disabled Waiver is a 1915(c) Home and Community Based Services (HCBS) Medicaid Waiver. 6 of the DDRS Waiver Manual, Provider Agreement Checklist Form, and data from the 90 day check list. , beneficiaries diagnosed. Download Teams | Join on the web. MEDICAID WAIVERS ; Sections 3300. Name: * Address: * City: * State:Indiana applies for permission to offer Medicaid Waivers from the Centers for Medicare and Medicaid Services. This manual was issued by the Office of Medicaid Policy and Planning on February 13, 2007 and will be updated on a quarterly basis. 10. As of January 2020, the SSI maximum income for a single individual is $783 per month, making Medicaid Waiver financial eligibility $2,349 per month. The COVID-19 disaster emergency declared by the Governor under Executive Order 202. The design of DDS’s Medicaid HCBS Waivers is based upon a foundation of beliefs that have evolved from the DDS mission, Self Determination and Employment First principles, and the HCBS Waiver Assurances. Revised 200905 - 4 - Additional Waiver Resources In addition to this booklet there are several sources of information about Indiana’s Medicaid Waiver program that may be useful for people with disabilities and families: The Waiver Provider Manual for Home and Community-Based Services is a primary reference document for Home and Community. d. in. *For children under 18, approved for Medicaid disability and on an HCBS waiver, parent’s income and resources are exempt in the budget. Tentative Timeline. 201 E. O. Section 4. All, Behavioral Health, Hospital, Psych Residential Treatment Facility. Waiver Administration and Operation. Chapter 3300 . These services are provided to adults with a serious mental illness who reside in a HCBS setting and may benefit from AMHH services to live a safer lifestyle. Application for 1915(c) HCBS Waiver: IN. Adult Protective Services. R03. HCBS are designed for children/youth who, if not receiving these services, would require theState of Indiana Division of Disability and Rehabilitative Services 402 W. 00. 7: Indiana Money Follows the Person (MFP) See full list on in. The following steps outline the basic enrollment process for this provider type. application. Consumer-Directed Services Worksheet Form/Instructions HCBS-3c 4. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. This instructional guide applies to the following 1915(c) HCBS waivers: • Acquired Brain Injury (ABI) • Acquired Brain Injury Long Term Care (ABI-LTC). Indiana Family & Social Services Administration 402 W. Waiver redesign update and feedback sessions (08/03/2022) BDDS monthly webinar for providers and case managers (7/19/2022) Provider emergency plan policy (7/18/2022) HCBS Final Rule Non-Residential Transition Plan Implementation follow up (6/21/2022) HCBS Innovation Pilot Projects application period now open (6/17/2022)Indiana’s waiver program rate methodology updates to date have been generally ad hoc and targeted for specific services. HCBS waivers, such as general application procedures, client participation, reviews, and payment information. Application for 1915(c) HCBS Waiver: Draft IN. The Centers for Medicare & Medicaid Services (CMS) provides web-based training presentations and other materials on a variety of Home & Community Based Services (HCBS) topics to ensure that CMS, state agencies and other stakeholders have a clear understanding of HCBS Programs. Hcbs Waiver Program Provider Manual Indiana - collection. and Community Based Services (HCBS) waiver programs, including: medical waivers (see our fact sheet Medicaid Waivers: A&D and TBI) and waivers for individuals with developmental and/or intellectual disabilities (supported through the Bureau of Developmental Disabilities Service or BDDS). of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. Of these, 218 waivers reported providing one or more PCS. In IN, the Medicaid program is also called Indiana Health Coverage Programs (IHCP). The Division of Disability and Rehabilitative Services operates two HCBS programs for children and adults with intellectual disabilities: Community Integration and Habilitation Waiver; Family Supports Waiver; Division of Mental Health. Indiana operates this 1915(c) waiver concurrent with a 1915(b) waiver to implement Indiana PathWays for Aging (PathWays), a statewide managed long term services and supports (MLTSS) program. 03 - May 26, 2020 (as of May 26, 2020) Page 5 of 274 04/30/2020. All. Agency for Health Care Administration September 2021 . Indiana’s initial STP was submitted to CMS. Persons with Disabilities waiver. The manual provides instruction to case managers, other service providers, state staff, family members, advocates, and Waiver participants and is available to assist all those who administer, manage, and participate in Indiana’s HCBS Waiver programs. This pdf document contains detailed information about the waiver, such as eligibility criteria, covered services, provider qualifications, and quality assurance. Within broad Federal guidelines, States can develop home and community-based services waivers (HCBS Waivers) to meet the needs of people who prefer to get long-term care. Appendix A specifies the administrative and operational structure of this waiver. m. The Indiana Division of Disability and Rehabilitative Services (DDRS) provides an amendment to the Community Integration and Habilitation (CIH) Waiver, effective from January 1, 2022. iv Library Reference Number: PRPR10014 Published: December 8, 2020 Policies and procedures as of July 16, 2020 Version: 8. 6 of the DDRS Waiver Manual, Provider Agreement Checklist Form, and data from the 90 day check list. Table 1 – Amended rates for A&D Waiver and MFP-A&D assisted living services effective for DOS on or after June 30, 2017 For more details, see the A&D Waiver amendment application on the FSSA website at in. 3 This increase is consistent with the average. It began in 1992 as the Home and Community Based Services for the Elderly and Disabled (HCBS/ED) waiver program. indiana@fssa. R04. The Community Integration and Habilitation (CIH) waiver provides services that enable individuals to remain in their homes or community-based settings. IHCP announces spring/summer HCBS business acumen training schedule. Adult Day Health Care (ADHC) The ADHC waiver covers direct care provided in. in. HCBS Waiver Manual; I acknowledge that I have read and understand this document. A. In 2014 CMS issued new rules about the HCBS waiver services and supports that states must follow to continue to provide HCBS waivers to people with disabilities. 00. The Elderly Waiver (EW) is a federal Medicaid waiver program funds Home and Community Based Services (HCBS) for people ages 65 and over who require the level of care provided in a nursing home but choose to reside in the community. Resources. 4. Skip Navigation Heading, go to main content Top of Page. 00 Appendix 2g: In-Home Services Worksheet Form/Instructions HCBS-3a 4. Medicaid HCBS; Older Americans Act/ Family Caregiver Support; Ombudsman;. Waiver redesign update and feedback sessions (08/03/2022) BDDS monthly webinar for providers and case managers (7/19/2022) Provider emergency plan policy (7/18/2022) HCBS Final Rule Non-Residential Transition Plan Implementation follow up (6/21/2022) HCBS Innovation Pilot Projects application period now open (6/17/2022)The State of Indiana requests approval for an amendment to the following Medicaid home and community-based services waiver approved under authority of §1915(c) of the Social Security Act. This revised Program Manual reflects these changes and provides further clarification of definitions and scope of the HCBS/TBI waiver services. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. Indiana Health Coverage Programs Rate Increases – Home- and Community-Based Services Waiver. in. All. Traumatic brain injury means a sudden insult. * 1. 03/01/2022. To apply, submit the attestation form by 5:00 p. Consolidated Waiver A person of any age who has aIN Family Supports Waiver (0387. The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in §1915(c) of the Social Security Act. 0 Version Date Reason for Revisions Completed By 7. Form, Part 4. One program run by Michigan Medicaid is the MI Choice Waiver Program. (Division of Aging; 455 IAC 2-1-1; filed Sep 1, 2006, 8:20 a. Case manager resources. gov. , personal care) are optional services that states can choose to cover. Mary G. DDRS HCBS waivers provider reference module (September 2022) Webinars. The waiver includes person-centered planning requirements and specifies transitional coverage requirements for children/youth enrolled in any of the aforementioned 1915(c) waivers at the time of transition. Current professional and personal liability insurance policy to cover:. MASI, MA A, MA B, MA D, MADW, or MADI. Attachment E SED Waiver Annual Evaluation of Level of Care (LOC) Attachment F SED Provisional Plan of Care. HCBS SED Participant Interest Inventory SED Eligibility New. This information is accurate as of July 1, 2023 for State Fiscal Year 2023-24. Indiana is working to give more people over age 60 on Medicaid this choice by making long-term services and supports more effective and better coordinated. gov) August 2022. The following chart describes the non -financial eligibility criteria for those HCBS Waivers applicable to individuals with ID and/or autism: HCBS Waiver Key Non-Financial Eligibility Criteria Exclusions . The waivers are programs of. Provider Manuals. For Traditional Medicaid Members: Use our provider search to determine whether your current provider participates in the Medicaid program. 00. gov and check back for additional. Waiver Redesign . HCBS waivers are also discussed in 16-K, Medicaid Waiver Services, with an emphasisThe Elderly waiver is for people 60 years or older who live in the community. The AD Waiver is a home- and community-based services program for individuals who are aged or disabled and need long-term care. INDIANA HEALTH COVERAGE PROGRAMS BT201624 MAY 5, 2016 Page 1 of 8. It began in 1992 as the Home and Community Based Services for the Elderly and Disabled (HCBS/ED) waiver program. Structured Family Caregiving Waiver Rights and Responsibilities . • The State Medicaid Manual, section 4442. X X X X X X X X X Service specific survey or certification tool if applicable. Application for 1915(c) HCBS Waiver: Draft IN. Hoosier Healthwise is a health care program for children up to age 19 and pregnant individuals. The information in this module applies to Indiana Health Coverage Programs (IHCP) services provided under the fee-for-service. Indiana Health Coverage Programs. FSSA met with stakeholders on May 31, 2023, and June 1, 2023, to share a rate project update as the state finalizes provider rate increases for the Family Supports Waiver and Community Integration and Habilitation Waivers ahead of the submission to federal partners at the Centers for Medicare and. It is the authorized reference document for Indiana Medicaid HCBS Waiver service. 6. With variations, there are four base plans: HIP Plus is the preferred plan for all HIP members and includes more benefits such as dental and vision. Lower Hudson Valley - 845-228-7457 ext. BT202218. Appendix B specifies the target group(s) of individuals who are served in this waiver,Official Program Name IL HCBS Waiver for Children that are Medically Fragile, Technology Dependent (0278. Medicaid waiver provider relations Aged & Disabled waiver and traumatic brain injury waiver Phone: 317-232-4650Waivers usually require medical and financial eligibility, but state waiver eligibility requirements may not be exactly the same as state Medicaid eligibility. 00. Indiana 211 Indiana 211State of Indiana Division of Disability and Rehabilitative Services 402 W. 8) 9/2014; State Plan Amendment 10/1/20; 1915(b)(4) Waiver Fee-for-Service Selective Contracting Program 10/1/18 Below are all services that are approved under Indiana’s Family Supports Waiver as of August 1, 2020: • Adult Day Services • Behavioral Support Services • Case Management • Day Habilitation – (individual and group) • Environmental Modifications (A new service to FS waiver as of 8/1/20 with a $15,000 lifetime cap and $500 per year. Indiana HCBS Spending Plan provides a one-time opportunity to invest $727 million in federal relief dollars into initiatives that enhance, expand, and strengthen Indiana’s home and community-based services ecosystem. In the settings rule CMS clarified expectations about person-centered planning and the things that need to happen when HCBS waivers800-545-7763 Bureau of Developmental Disabilities Services (BDDS) 800-545-7763 Statewide Waiver Ombudsman . Agenda • Introduction and Background of the CMS HCBS Settings. Manuals for Akai products. 2 See Appendix A - HCBS Solutions presentation dated July 23, 2018 for additional information. Additionally, case managers and waiver providers will assist waiver participants in developing a plan to continuethis waiver renewal. For more information, visit their website or contact. Medicaid . R06. Therefore, the Committee recommends: The Legislative Coordinating Council (LCC) consider approving a task. Announced on Jan. The Indiana Medicaid Home and Community Based Services (HCBS) Waiver program provides individualized supports to assist people, of all ages, live successfully in home. : 20060927-IR-460050119FRA; readopted filed Nov 2, 2012, 8:32 a. Prior Authorization Forms Claim Jumper Newsletters. Services: a review of expenditure data, policy information, and oversight considerations for the most utilized services by Medicaid HCBS waiver participants. 3305. - 12 Jul. O. FSSA met with stakeholders on May 31, 2023, and June 1, 2023, to share a rate project update as the state finalizes provider rate increases for the Family Supports Waiver and Community Integration and Habilitation Waivers ahead of the submission to federal partners at the Centers for Medicare and. BT202219. The Division of Aging (DA) offers two HCBS waiver programs: • Aged andDisabled (A&D) Waiver • Traumatic Brain Injury (TBI) Waiver Information about these two waivers is. 6 Application for a §1915(c) Home and Community-Based Services (HCBS) Waiver, released January 2019. 00. Application for 1915(c) HCBS Waiver: CA. 00. BT202218. This new rule is referred to as the settings rule. Requires assistance with at least three activities of daily living. Indiana defines a traumatic brain injury as a trauma that has occurred as a closed or open head injury by an external event that results in damage to brain tissue, with or without injury to other body organs. Charles St. All. Indiana Health Coverage Program Policy Manual . Type of Request: Renewal. – the state of Indiana’s Medicaid program, separated into Package A for children and pregnant members and Package C for children under age 19. Program for All-Inclusive Care to the Elderly (PACE) The Program of All-Inclusive Care to the Elderly (PACE) was implemented by the state of Indiana to provide quality community-based care for Indiana Health Coverage Programs (IHCP) members who: Are 55 years old or older. BT202218. Persons with Brain Injury waiver. The rest of the chapter is divided into sections on the individual HCBS waivers, and the policies and procedures that are unique to each waiver. Potential provider enrolls with Indiana . IHCP Medicaid, 1915(c) HCBS waiver and 1915(i) HCBS benefit plan and service combinations. California’s six 1915 (c) Waivers are: Waiver Name. • If an individual is approved for a HCBS Waiver, KanCare looks only at the income and assets of the person who will receive services. The Medicaid Home-and Community-Based Services (HCBS) waiver program was authorized under Section 1915 (c) of the Social Security Act. BDDS HCBS provider . 3, B. HCBS Rate Review Updates. In addition, Rhode Island’s latest Section 1115 waiver renewal requires the state to transition HCBS authorized under Section 1115 to a Section 1915 (c) waiver or Section 1915 (i) state plan. The eligibility review process starts at one of OPWDD's five Developmental Disability Regional Offices (DDROs). participants and is available to assist all those who administer, manage, and participate in Indiana’s HCBS Waiver programs. 00 -Mar 01, 2024 Page 1 of 156 08/18/2023. The average state projected to serve approximately 13,000 participants a year, ranging from an average of 1,052 for Delaware to 102,500 for California. The waiver covers a range of services, such as respite, transportation, employment, and behavioral support. Final regulations for HCBS provided under Medicaid’s 1915 (c), 1915 (i) and 1915 (k) authorities. 03/01/2022. IHCP reminds providers of Kepro transition and announces additional Atrezzo Provider Portal benefits; IHCP removing unit limit from psychiatric procedure codes 90785 and 90840 and clarifies use of 90785. 291818717@t. Home. Achieving the full intent of the HCBS rule with an emphasis on choices, access, and an array of options will require long term transformational systems change, including a redesign of Indiana’s HCBS delivery system and waivers. 8 times per year. 6 %âãÏÓ 8439 0 obj > endobj 8453 0 obj >/Filter/FlateDecode/ID[38A9FAC2F20EED4E85BDDF24DEF6C92D>2A7F337685EBCB45BA711FC4CD8A1F29>]/Index[8439 25]/Info 8438. 0183. Countable assets include bank accounts, retirement accounts, stocks, bonds, certificates of deposit, cash and any. gov, with the subject line DDRS Bulletin. Alabama St. 800-622-44844 Exhibit 2 – A&D and TBI Waiver Enrollees Using Assisted Living Services Waiver SFY 2013 SFY 2014 SFY 2015 A&D Waiver8 1312 1639 1882 TBI Waiver 4 3 Total 1316 1643 1885 The majority of assisted living enrollees fell into the AL1 rate cell, the least impaired level of service, asAs a follow-up to Indiana Health Coverage Programs (IHCP) Bulletin BT202025, the IHCP has decided to extend the timely filing limit to March 31, 2021, for certain Aged and Disabled (A&D) Home- and Community-Based Services (HCBS) and Traumatic Brain Injury (TBI) waiver services, with dates of service (DOS) on or after April 1, 2019. •Indiana has about 2% of the U. Help@fssa. BT202219. 281. The following steps outline the basic enrollment process for this provider type. ADRC Information, Referral and Assistance ADRC Information Referral Assistance Fillable. 00) Provides adult day services, case management, prevocational services, respite, occupational therapy, physical therapy, psychological therapy, speech/language therapy, behavioral support services, day habilitation, environmental modifications, extended services, facility based support services, family. It is the authorized reference document for Indiana Medicaid HCBS Waiver service. All. 04. FSSA is pleased to share a rateCMS pays for about 2/3 of the cost of HCBS provided in these waiver programs. BPHC and HCBS comprehensive training 3/8/21; Critical incident. DARMHA user manual for RW providers - DMHA certified providers - July 2021. 100 Providers of CES Waiver Services in Arkansas and Bordering States Trade Area Cities 202. 03/10/2022. Code §§ 14132 (t), 14137. PURPOSE OF THE HCBS WAIVER PROGRAM The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in §1915(c) of the Social Security Act. Box 7083. Use the HCBS Programs Service Request Form (DHS-6638). Video Conference ID: 113 496 800 4. DHCS has principal responsibility for ensuring that the design and operation of the Waivers areThe HCBS Stabilization Grants were designed to provide immediate stabilization to Indiana’s workforce and community-based provider network. In accordance with the public notice requirements of 42 CFR 441. HCBS programs allow members to live in a community setting and avoid institutional placement. " Through MI Choice, eligible adults who meet income and asset criteria can. In addition, each HCBS Waiver has non-financial eligibility requirements. Upload manual. Modules include instructions for submitting IHCP claims and prior authorization (PA) requests, as well as other related topics. 7: Indiana Money Follows the Person (MFP) DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023. All. What are Home- and Community-Based Medicaid Waivers? BDDS offers two home- and community-based Medicaid waivers, known as the Community. The program permits a State to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in theMissouri Division of Developmental Disabilities Targeted Case Management (TCM), Home and Community Based Waiver Services (HCBS), and Preadmission Screening and Resident Review (PASRR) – Nursing Home Reform are federal programs administered by the Centers for Medicare and Medicaid Services (CMS). of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. The information and direction in this manual replaces all previous waiver manuals. See IHCPPM 3315. Help@fssa. 1130 (voice), 914-259-8036 (VP). 018. 1506. Application for 1915(c) HCBS Waiver: FL. Within 15 calendar days . m. General Requirements (1) The department has adopted and incorporated by reference the Medicaid Home and Community-Based Services (HCBS) for Adults with Severe and Disabling. A federal government managed website by the Centers for Medicare & Medicaid Services. 1, 2024, however, Indiana must transition to a reimbursement model with consistent rates across all its programs. Coordination, Child Mental Health Wraparound, or any HCBS waiver or MFP plan. INDIANA HEALTH COVERAGE PROGRAMS BT2022107 NOVEMBER 29, 2022 Caregiver Coaching and Behavior Management service added for A&D waiver The Office of Medicaid Policy and Planning (OMPP) and the Division of Aging (DA) announce the addition of one new. The program covers medical care such as doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost to the member or the member's family. Inquiries about the Indiana Refugee Services program can be directed to. However, because section 1915(c) waivers must be cost neutral, waiting lists exist for individuals seeking access to waiver services. R06. The Division of Disability and Rehabilitative Services manages the delivery of services to children and adults with intellectual and developmental disabilities. If approved, you will then be directed to download your Indiana Health Coverage Programs Waiver Billing Provider Application and Profile Maintenance packet through HP. DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023 Policies and procedures as of June 1, 2023 Version: 10. Application for a §1915(c) Home and Community-Based Waiver [Version 3. Indiana’s Aged & Disabled Waiver is a 1915(c) Home and Community Based Services (HCBS) Medicaid Waiver. 21, 2022. [DDRS] State of Indiana Summer 2016 . HCBS Rate Review Updates. BT202219. Or call in (audio only) +1 406-318-5487,,232465800#. Homemaker. Case Management Rule 18. Join with a video conferencing device. 402 W. 04. 1, 2016 The FSSA Resource Guide is a comprehensive document that provides information on various programs and services offered by the Indiana Family and Social Services Administration (FSSA). This resource describes the required steps for providers. as of Oct. Other funders for HCBS might include your tribe or private long-term care insurance held by your patients. T2029 . State of Indiana Division of Disability and Rehabilitative Services 402 W. THE HCBS WAIVER QUALITY FRAMEWORK The goals of the HCBS Waiver are to ensure consumer choice of waiver services, consumer satisfaction, and to provide safeguards necessary to ensure the health and safety of. O. 03/10/2022. Approval of 2023 Waiver Amendment. Contents. Manual review . The Center for Medicaid and CHIP Services (CMCS) is pleased to share with State Medicaid Agencies, Operating Agencies, and other stakeholders a Home and Community Based Settings Toolkit to assist states develop Home and Community-Based 1915(c) waiver and 1915(i) SPA amendment or renewal application(s) to comply with. Home- and Community-Based Services (HCBS) are types of person-centered care delivered in the home and community. 1, 2023 Version: 7. Waiver. See Section 5. Summary of Key Provisions of the HCBS Settings Final Rule. Based Services Waiver PURPOSE OF THE HCBS WAIVER PROGRAM The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in §1915(c) of the Social Security Act. Email inquiries can be sent to: ProFacWAIVER@dhcs. Mori Created Date: 4/23/2020 7:59:25 AMguidelines, policies and/or manuals, including policies, written agreements and the HCBS Waivers Provider Reference Module on the IHCP Provider Reference Materials webpage; o Ensure case managers meet with waiver individuals on a regular basis or as requested by the individual to develop, update, and support the execution of person-centeredIHCP Medicaid, 1915(c) HCBS waiver and 1915(i) HCBS benefit plan and service combinations. Washington St. 00) Waiver Authority 1915 (c)Application for 1915(c) HCBS Waiver: Draft . ASSESSMENT OF HCBS REQUIREMENTS: REVIEW OF INDIANA’s STANDRADS, RULES, REGULATIONS, and REQUIREMENTS Start Date: 9/2014 End Date: 10/2014-Completed. provider’s operations manual. and 4. The Home and Community-Based Services final rule and ongoing monitoring; Budget Modification Request/Budget Review Questionnaire training ; BMR training PowerPoint (10/31/2017) Planning Indiana's future - PowerPoint (04/28/2015) Information for providers Individuals must meet HCBS waiver eligibility and Medicaid eligibility guidelines to be eligible for a Medicaid HCBS waiver. This manual was issued by the Office of Medicaid Policy and Planning on February 13, 2007 and. Clarified the process for provider access to the Indiana Medicaid (Indiana Health Coverage Programs) HCBS waiver provider manuals and the Bureau of Quality Improvement. HCBS provides for supports and services beyond those covered by the Medical. Individuals and their families may find additional information courtesy of the Indiana Governor’s Council for People. It also includes. A. Request Information (1 of 3) A. Waiver Administration and Operation. Personal emergency response system. December 18, 2019. DEPARTMENT OF DEVELOPMENTAL SERVICES (DDS)WAIVER SERVICESINDIVIDUAL PRACTITIONER APPLICATION FOR QUALIFIED PROVIDERS. Indianapolis, IN 46027. e. 010. This pdf document provides an overview of the Home and Community-Based Services (HCBS) Waivers offered by the Division of Disability and Rehabilitative Services (DDRS) in Indiana. WASHINGTON STREET, ROOM W453 INDIANAPOLIS, INDIANA 46204-2739INDIANA HEALTH COVERAGE PROGRAMS BR201510 MARCH 10, 2015 Medicaid Rehabilitation Option (MRO) diagnosis codes updated All Indiana Health Coverage Programs (IHCP) members who demonstrate a behavioral health need are eligible for clinic op-tion services (405 IAC 5-20-8). 200 HCBS. In 2014 CMS issued new rules about the HCBS waiver services and supports that states must follow to continue to provide HCBS waivers to people with disabilities. 00 Appendix 2f 4. -QMBAlso coverage without HCBS waiver or End-Stage Renal Disease (ESRD) liability:. FSSA selects managed care entities to serve Healthy Indiana Plan and Hoosier Healthwise members. Application for a §1915(c) Home and Community-Based Services Waiver 1. govIndiana Medicaid offers coverage for the Child Mental Health Wraparound (CMHW) home and community-based services (HCBS). of the BAIHS funded HCBS. (See HCBS waiver manual, Section 1. Process for adding temporary services/counties during COVID-19 public health emergency. FSSA met with stakeholders on May 31, 2023, and June 1, 2023, to share a rate project update as the state finalizes provider rate increases for the Family Supports Waiver and Community Integration and Habilitation Waivers ahead of the submission to federal partners at the Centers for Medicare and Medicaid Services. 03 - Jul 01, 2023 Page 3 of 347 1. Applicants must have qualifying scores on standard assessments and be at risk for inpatient. Requested Approval Period: (For new waivers requesting five year approval periods, the waiver must serve. These benefits can help you remain in your home and community. RI Medicaid Provider Reference Manual – Home and Community Based Services PR0016 V1. waiver services provided through a 1915(c) Home- and Community-based Services (HCBS) waiver program Note: Nonemergency transportation provided to HCBS waiver members for nonwaiver services is not exempt and must be brokered through Southeastrans. 455 IAC 2. Indiana currently has four waiver programs that serve children. Download the. duration to meet the most current Diagnostic and Statistical Manual of Mental Disorders (DSM. The guide also includes links to IHCP companion guides and other useful. Financial Eligibility • Looks at an individual’s eligibility for KanCare to pay for an individual’s services. Indiana offers eight Medicaid Home- and Community-Based Services programs that target specific groups. Providers wanting to add a temporary service will email a request to [email protected]. 7500 Security Boulevard Baltimore, MD 21244. (HCBS) waivers are authorized under section 1915(c) of the Social Security Act and governed by Title 42, Code of. Sent policy, information, and . State of Indiana Division of Disability and Rehabilitative Services 402 W. BOX 7083 INDIANAPOLIS, IN 46207-7083. 00. 00 Appendix 4 Form and Instructions. 26 A small. However, only members withwith developmental disabilities. To keep getting these federal funds, we have to follow their rules. Over three-quarters of HCBS waivers apply the federal SSI asset limit of $2,000 for an individual, and almost all waivers use the same asset limit as is required for institutional care. A. Under the authority of Senate Bill (SB) 468 (Chapter 683, Statutes of 2013) and upon CMS approval, DDS will implement the SDP, allowing regional center consumers and their families more freedom,. Having a managed long-term services and supports program means FSSA will partner with experienced health plans to coordinate LTSS benefits and an individual’s other benefits such as Medicare. If you have questions about this publication, please contact Customer Assistance at 1-800-457-4584. Indiana Health Coverage Programs HCBS Waiver Audit Process, Recoupment, and Appeals BT200412 June 11, 2004 EDS Page 2 of 6. 7500 Security Boulevard Baltimore, MD 21244. Learn more about the eligibility, application, and benefits of this. The Family Supports home- and community-based services waiver (FSW) provides limited, non-residential supports to individuals with developmental disabilities who live with their families or in other settings with informal supports. PathWays serves Medicaid enrollees who are 60 years of. A. 0 CMS pays for about 2/3 of the cost of HCBS provided in these waiver programs. The latest amendment to the OPWDD 1915 (c) Comprehensive Home and Community-Based Services (HCBS) Waiver was approved by the Centers for Medicare and Medicaid Services (CMS) effective October 1, 2023. Section 4. Program Title: Home and Community Based Alternatives Waiver . 000 Overview 201. gov, with the subject line DDRS Bulletin. Older Americans Act/ Family Caregiver Support. Individuals must qualify for institutional care and must be enrolled in the IHCP to be eligible for HCBS waiver coverage. DARMHA/WITS user manual - DMHA certified providers - July 2021. HCBS Waiver. indiana@fssa. Manual. Mori Created Date: 4/23/2020 7:59:25 AM guidelines, policies and/or manuals, including policies, written agreements and the HCBS Waivers Provider Reference Module on the IHCP Provider Reference Materials webpage; o Ensure case managers meet with waiver individuals on a regular basis or as requested by the individual to develop, update, and support the execution of person-centered as of Oct. IHCP updates PA policy for. e. o All children and youth eligible for Children’s Waiver under 1915(c) authority in New York. Eligibility for HCBS Waiver Services . What is the Settings Rule? • The goal of the rule is to ensure people receiving services through HCBS (Home Community Based Services) programs have theThis handbook is designed to help you and/or your Employer of Record, if it is someone else, understand and manage the services available through the Illinois Department of Human Services/Division of Developmental Disabilities' (DDD) Home-Based Services (HBS) program. IHCP updates.